Contagion Risks of Plantar Warts: Treatment and Precautions - Dermatology

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Is there still a risk of contagion while undergoing treatment for plantar warts?


Hello Doctor: Last week, I felt a foreign body sensation in the sole of my foot.
After observing the symptoms and searching online, I suspected it might be a contagious viral wart.
The next day, I went to see a doctor with a mix of anxiety and hope that it wasn't a viral wart, but the doctor confirmed it was indeed a viral wart.
I immediately underwent cryotherapy (similar to a spray used for insecticides).
I have a few questions:
1.
Do I need to wrap my foot while showering to prevent water from flowing over the sole and potentially infecting others? I currently have blisters on the sole (which are unbroken).
2.
After showering, I apply medication to the affected area and cover it with an adhesive bandage.
Since there are still gaps on both sides, I use additional tape to secure it.
Is this an effective way to contain the virus?
3.
Should I discard used towels or socks? Now that I have this virus, I feel very anxious and under a lot of psychological stress, especially since there are young children in the house.
I'm worried about them getting infected.
After showering, I sanitize the floor with hot water, and even when I'm outside playing, I feel like there are dangers everywhere.
The doctor mentioned that there is usually a 3 to 4 month incubation period.
I estimate that in the past three to four months, the only time my foot came into contact with the ground was at a certain hotel, but that was quite some time ago.
I vaguely remember stepping on something.
If that's the case, it seems too easy to contract the virus...

Konghuan Nü, 20~29 year old female. Ask Date: 2017/08/21

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to viral warts, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52.
Although human papillomavirus (HPV) is transmitted through contact, there is no need to panic excessively.
It is recommended to have regular follow-up visits to treat viral warts early! Thank you!

Reply Date: 2017/08/21

More Info


Plantar warts, caused by the human papillomavirus (HPV), are indeed contagious and can be a source of concern, especially when you have young children at home. It’s understandable to feel anxious about the potential for spreading the virus. Let’s address your questions and provide some guidance on managing this condition effectively.

1. Bathing Precautions: It is wise to take precautions while bathing. Covering your foot with a waterproof bandage or plastic wrap can help prevent water from coming into contact with the wart. This is particularly important if you have blisters that have not yet broken, as they can harbor the virus. Keeping the affected area dry is crucial, as moisture can promote the growth of warts and increase the risk of spreading the virus.

2. Post-Bath Care: After bathing, applying medication as directed by your physician and covering the wart with a bandage is a good practice. Using an additional layer of tape or a bandage can help create a barrier against the virus. However, ensure that the bandage is not too tight, as this can cause irritation. The goal is to keep the wart covered and protected from friction and moisture, which can help in the healing process and reduce the risk of transmission.

3. Towels and Socks: It’s important to maintain good hygiene to prevent spreading the virus. While you don’t necessarily need to discard used towels or socks, you should wash them in hot water after each use. This will help kill any virus particles that may be present. Avoid sharing towels or socks with others, especially children, until the wart is completely treated and healed. If you have any items that have come into direct contact with the wart, consider designating them as personal use only until you are clear of the infection.

General Precautions:
- Avoid walking barefoot in public places, such as pools, locker rooms, or communal showers, as these are common areas where the virus can spread.

- Keep your feet dry and change socks regularly to minimize moisture.

- Educate your family about the importance of not touching the wart and washing their hands frequently, especially after coming into contact with your feet.

Psychological Impact: It’s normal to feel stressed about the potential for contagion, especially with young children in the house. Consider discussing your concerns with a healthcare provider who can provide reassurance and additional strategies for managing anxiety related to this condition.
Treatment Outlook: The freezing treatment (cryotherapy) you received is a common and effective method for treating plantar warts. It may take several sessions to completely eliminate the wart, and it’s essential to follow your doctor’s advice regarding follow-up treatments.
In summary, while plantar warts are contagious, taking the right precautions can significantly reduce the risk of spreading the virus. Maintain good hygiene, keep the affected area covered, and ensure that your family is aware of the situation. If you have ongoing concerns or if the wart does not improve, don’t hesitate to reach out to your healthcare provider for further evaluation and treatment options.

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